经尿道前列腺电切术后并发尿路感染的相关因素分析  

Related factors of concurrent urinary tract infection after transurethral resection of prostate

作　　者：程义仙 刘水英[1] 程慧霞[1] 万里军[1] 

机构地区：[1]衢州市人民医院外科,浙江衢州324000

出　　处：《中国性科学》2016年第2期11-14,共4页Chinese Journal of Human Sexuality

摘　　要：目的:探讨经尿道前列腺电切术后并发尿路感染的相关因素情况。方法:分析2008年4月至2014年4月我院收治的良性前列腺增生400例临床资料,均通过经尿道前列腺电切术治疗,依据术后是否发生尿路感染进行分组,尿路感染组50例和非尿路感染组350例。结果:感染组年龄>65岁、术者经验初学、糖尿病、术前尿潴留行导尿术、术前抗生素未应用、术后留置尿管时间>6d的比例均明显高于非感染组(P<0.05);通过Logistic回归分析感染组、术者经验、糖尿病、术前尿潴留行导尿术、术前抗生素未应用、术后留置尿管时间均是尿路感染发生的相关性因素(P<0.05)。结论:掌握经尿道前列腺电切术后并发尿路感染的相关因素可以为经尿道前列腺电切术后降低尿路感染发生率提供可靠的理论依据,提高患者的预后水平。Objectives： To discuss related factors of concurrent urinary tract infection after transurethral resection of prostate（ TURP）. Methods： Clinical data of 400 patients with benign prostatic hyperplasia（ BPH）,who were received and cured in the hospital from April 2008 to April 2014,were analyzed and given the medical treatment of TURP.They were divided into urinary tract infection group（ 50 cases） and no urinary tract infection group（ 350 cases） in accordance with the occurrence of urinary tract infection after the operation. Results： The percentages of age over 65 years old,diabetes mellitus,preoperative urinary retention catheterization,non- application of antibiotics before operation,and postoperative indwelling catheter time over 6 days of patients in urinary tract infection group were much higher or longer than those in no urinary tract infection group,with significant differences（ P〈0. 05）. Conclusion： With knowledge of related factors of concurrent urinary tract infection after TURP,the occurrence rate of urinary tract infection can be reduced while providing reliable theory evidence and improving prognosis level of patients after TURP.

关 键 词：经尿道前列腺电切术 尿路感染 相关因素 

分 类 号：R699.8[医药卫生—泌尿科学] R691.3[医药卫生—外科学]